Primiparous women's knowledge and satisfaction based on their attendance at childbirth preparation classes.
Robab Hassanzadeh, Fatemeh Abbas-Alizadeh, Shahla Meedya and 2 others
PMID 33626230WHAT IT FOUND
First-time pregnant women who attended childbirth classes regularly had higher childbirth knowledge than those who attended irregularly.
Overall satisfaction did not differ, and after accounting for background differences, satisfaction differences were not seen.
Key findings
01Regular attenders had higher mean childbirth knowledge than irregular attenders, 13.7 versus 11.0.
02Overall satisfaction did not differ between groups, 100.7 versus 98.5.
03After adjustment for socio-demographic characteristics, total satisfaction and its subscales showed no significant differences.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was cross-sectional, so it cannot show that regular attendance caused higher knowledge or lower anxiety. Both groups attended childbirth classes; it compares regular attenders with irregular attenders, not class attendance with no attendance. Participants were only first-time pregnant women from health centres in Tabriz, Iran, so results may not apply to other women or settings. Satisfaction differences were small, and some unadjusted outcome subscale findings were not supported after adjustment. Knowledge and satisfaction were measured with questionnaires, including a researcher-designed knowledge tool.
Declared interests
No detailed funding or conflicts of interest declaration is given in the supplied text. The supplied publication types list non-U.S. government research support.
The easy way to misread this
Do not conclude that attending more classes caused better knowledge or reduced anxiety. This was a cross-sectional study of women who already attended regularly or irregularly, and adjusted analyses did not support a satisfaction difference.